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HomeMy WebLinkAbout18821 Delaware St - CofO (77)• 0 J� HUNTINGTON BEACH Business AddrE Business OwnE Business NamE Business Type CERTIFICATE OF OCCUPANCY 0201 q- CAZI CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3rd Floor - The Applicant Must Apply In -Person) Date (I?_%�� � ZIp Code f Telephone No G Bus. Phone( Rrooertv Owner Information (required) Tenant/Emeraencv Contact (required) Name ulV1 _Name _ HC4 &e-_ 4 '/-) - - Add r ,. Home ddress_ _ —.- _ ` - _ State/Zip Ci V, e/Zipl_ City . p Telephone N� C�-1 g , lg i2 Telephone No:, 31 D 2i THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or Existing Building IS THIS BUILDING FIRE SPRINKLERED? zrYes ❑ No CHECK ALL THAT APPLY: ❑ Change of Business Owner ❑ Change of Occupant ❑ Change of Use pAdditional Occupant • Indicate former type of business • Are you requesting that the electricity be turned on? ❑Yes [3' No • Will operations produce dust/wood shavings or similar material? ❑ Yes , Flo • Will operations involve the repair or replacement of automobile parts? ❑Yes EjNo If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes No • Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes No • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes fa'ICIo • The following best describes my operation: ❑ Office Only ❑ Retail SEl Medical / tal ElWarehouse/Manufacturing/Distribution El ale Restaurant/Take-Out Food Other G ALL • Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes KNo If you answered yes, please proceed to the next question. • Does your facility currentl have a grease control device (i.e. grease trap or grease interceptor)? Check one: ❑ Yes V0 Grease Interceptor Verified Inspected By Initials: Date: For Official Use Only c2 Occ Group: V Area: W Occ Load: 1-7 Occ Group: Area: Occ Load: Occ Group: Area: Occ Load: Total Sq Ft Occupied: `")cam No. of Stories: TIF Review: Y Bldg. Permit # Entitlement #: Zoning: Use Permitted: VY N Parking Meets Code (for use): Y N Planning Initials: Date: 2 I Building Reviewed By Initials: Date: Zz l`cf Conditions of Approval or Other Notes: A4 h n wo o 1 i:, Q p %rw 100 • 019 cD w �2 South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 Phone Number (909) 396-3529 http://www.agmd.gov ° sc Air Quality Permit Checklist California State Law Code 65850.2 prohibits cities from issuing an occupancy permit to a business without clearance from the local air quality agency. This checklist will determine if you need to obtain clearance from the South Coast Air Quality Management District (AQMD). Company Name: C'1UUfo V 11& ew st Property Address: i 1012_1 AYUV301yeU_Vt.i`r A(? nDs City: Zip Code: C1 1,)V4 Contact Perso : oe ��- Title: Type of B� � usiness: �� Telephone: l � I Fax Number: _ _ _ E-mail Address: C. m I", imp W, i I _1 WE .101- R A �_ 10 1 fig 1. Will the facility release air pollutants, including but not limited to, dust fumes, gas, mist, odors, smoke, vapor, or a combination of these to the atmosphere? ❑Yes 0-No 2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes o 3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes PNo 4. Will the facility have use of above or underground storage tank? ❑Yes E?<o 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes PlIqo 6. Will the facility result in the use of the equipment listed below? ❑Yes E-1Ko (Select all that apply) ❑Abrasive Blasting Cabinet/Room ❑Air Conditioning System (containing > 50 Ibs of refrigerant) ❑Application of Paints/Adhesive/Resins ❑Baghouse/Dust Collector ❑Bakery Oven (gas fired) ❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) ❑Charbroiler/Smoker ❑Coffee Roaster/Afterbunner ❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator) ❑Mixing/Blending of Liquids and/or Powders ❑Molding /Extruding/Curing of Plastic ❑ Pharm ace utical/N utraceutical ❑Plasma/Laser Cutter ❑ Printing/Coating/Drying ❑ Production of Fumes/Dust/Smoke/Odors ❑Refrigeration Systems (containing > 50 Ibs of refrigeration ❑Deep Fryer (excluding equipment located at eating establishment) ❑Soldering Oven ❑Dry Cleaning Equipment ❑Spray Booth ❑Electrostatic Precipitator ❑Storage of Acids/Solvents/Organics Liquids/Fuels ❑Fermentation ❑Gasoline Storage & Dispensing Equipment ❑Storage Silos (sugar, flour, etc.) If you answered "No" to any of the above questions and your facility will not have the following equipment listed, this checklist is your clearance from AQMD. If you answered "Yes" to either question, you must contact AQMD to determine if air quality permits are required. If permits are needed, AQMD will assist you in submitting permit application(s) and then provide you with a clearance letter. You can call AQMD at their Small Business Assistance Office at 1-800-CUT-SMOG (1-800-288-7664). 01C1-5(4"` "Z Department of Planning & Building 2000 Main Street Huntington Beach, CA 92648 Phone: (714) 536-5241 Fax: (714) 374-1647 Occupancy Application 18821 1 Delaware St 1207 GENERAL AMERICAN LIFE INS 110041 APN 159-262-05 Application Binder Num Street Unit Bld Job Address 18821 1 Delaware St 105 1 APN 159-262-05 RD 3615 Zoning SP14 Lot 5� Tract Block L� File Number CofO? 02016-005906 Yes 02016-008526 Yes 02017-000336 Yes X2017-005512 No 02017-005547 Yes 02018-000518 Yes 02018-002890 Yes B2018-006307 No 02018-008384 Yes 02019-000014 Yes 02019-000057 Yes 02019-000155 Yes Entered By Larrea, Seth Default Inspector Stewart, Vic Permit Type Certificate of Occupancy Origin Counter Building Use - City Building Use - County Description Internal Notes J L JI New Building? BY PHOEBE" CofO Number CO2019-000155 Choose PlintAll CofO Type Permanent _...._._-......._.•_........J Sheets to Issue Issued By Single C/O CofO Status Approved Date Entered 01/08/2019 Status Issued Issue Permit? Date Issued By Planner Beckman, Hayden Plan Checker Kong, Sokar Fees and Payments Inspections Cof0 Date Issued Temp. CofO Issued Date Printed Utility Release Date Temp. COFO Expiration I �- ------•--•- License Number Click the « button to copy the Business License information into the Certificate of Occupancy. Business Name Business Licenses Business Name A252828 SEED & CROP PHASE I LLC Business Type A174512 PACIFICA DENTAL Business Phone ( ) A169892 SUNDERRAJAN SOBHAM D A233872 REDDY ROHINI M D Proposed Use I PERMANENT MAKEUP I Approved Occupied Area (Sci Ft) j 1,700.00 Former Use PERMANENT MAKEUP # of Stories Conditions JPit4UNERT COSMETICS/ MICROBLADING ---ADDITIOANL OCCUPANT, APPROX. 100 SF. a� Change of Owner? Elec. Available? Drinking / Dining > 50 Occupants? 0 Change of Use? o Want Electricity On? � Welding / Open Flame? Change of Occupant? Sprinklered? Automobile Repairs? Additional Occupant? Dust / Wood? Auto Parts Desc.��--- ;Occupancy • • •.. Group Description Area Construction Type Occupancy Load B SALON 1700 17 B SALON 1700 17 Group Definitio Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions, .....1. ..J:...- .. {...........F .........1.. .... rd ........n{n